A new review on back pain determined the best method to prevent a recurrence after an initial injury. Lifestyle changes, shoe orthotics, back belts, various types of exercise programs and exercise programs that also included some type of education about back-pain prevention were all considered in a review of 6,000 studies. According to the lead researcher, “Educational efforts by themselves showed essentially zero ability to prevent a recurrence of back pain…Back belts and orthotics likewise were almost completely ineffective, leaving people who employed either of those methods very prone to experiencing more back pain within a year.” As it turns out, exercise (with or without additional education) was by far the big winner. And surprisingly the type of exercise did not even seem to matter that much. The study indicates that “of all the options currently available to prevent back pain, exercise is really the only one with any evidence that it works.”